Active NPI
Josh Thompson MD PLLC
- Internal Medicine Physician
- Oneida, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JOSH THOMPSON MD PLLC
- Practice address
- 17941 Alberta St
Oneida, TN 37841-3921 - Phone
- (423) 569-7750
- NPI assigned
- Feb 9, 2021
- Last updated
- Feb 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Thompson, MD
- Title
- Sole Member
- Phone
- (423) 569-7750
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
17941 Alberta St
Oneida, TN 37841-3921
Mailing address
17941 Alberta St
Oneida, TN 37841-3921
Phone (423) 569-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902498181. Details of each certification follow.
Rural health clinic certification: CCN 883932
- Legal name
- JOSH THOMPSON MD PLLC
- Doing business as
- THOMPSON MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 31, 2023
- Last certification
- Jan 31, 2023
- Ownership / control type
- 1A
- Organization structure
- LLC
- Enrollment address
- 17941 Alberta St
Oneida, TN 37841-3921
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2223696 | Josh Thompson MD, PLLC | Compliance | Sep 12, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Steven Thompson | 5% Or Greater Direct Ownership Interest | Oct 6, 2020 | 100% |
| Corporate Officer | Oct 6, 2020 | 100% | |
| Operational/Managerial Control | Oct 6, 2020 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Oneida, TN
- NPI 1386627305
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Oneida, TN
- NPI 1649898917
-
- Internal Medicine Physician
- Oneida, TN
- NPI 1386627305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612828800000",
"number": "1902498181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17941 ALBERTA ST",
"city": "ONEIDA",
"state": "TN",
"postal_code": "378413921",
"telephone_number": "423-569-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17941 ALBERTA ST",
"city": "ONEIDA",
"state": "TN",
"postal_code": "378413921",
"telephone_number": "423-569-7750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSH THOMPSON MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "423-569-7750",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oneida, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.